Nonreplantable Total Scalp Avulsion Reconstruction with Acellular Biologic Matrix and Long-Term Outcome

Total scalp avulsion is a significant injury typically occurring as a result of industrial accidents involving high-speed rotary machines. Although ideal, scalp replantation is uncommon secondary to the nature of the injury and lack of viable microvas-cular anastomosis targets. Therefore, these defects are often reconstructed with microvascular free tissue transfer, with or without skin grafting. We present a unique case of a patient with total scalp avulsion achieving complete, stable skin coverage over partially intact periosteum using only spare parts of the amputated scalp as a temporary full-thickness graft and porcine urinary bladder matrix, thus, avoiding significant donor site morbidity or extensive surgery. At 4 years postoperative, the scalp coverage remains stable.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

A case report describes a patient with nonreplantable total scalp avulsion who achieved complete, stable skin coverage over partially intact periosteum using spare scalp parts as a temporary full-thickness graft with porcine urinary bladder matrix, avoiding donor-site morbidity; coverage remained stable at four years.

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